Based on public Medicaid payment data.
Lcr Dental Sugar House
Medicaid Provider in Salt Lake City, UT
Type
Organization
Address
2068 S 2100 E Suite #A
Salt Lake City, UT 84108
Phone
8015321402
NPI
1518478742
Procedures
3
Total Claims
2.5K
Patients Served
2.3K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Cleaning & Exam | $39.85 | 2,237 | 2,214 |
| Dental Filling | $60.39 | 179 | 85 |
| Root Canal | $54.60 | 37 | 12 |
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